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Individual
TAYLOR STEPHEN GOFF
Active
Individual
TAYLOR STEPHEN GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41278
CA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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